Category Archives: 117

Physiological Adaptation Q 251

During a routine checkup, Nurse Marianne assesses a male client with acquired immunodeficiency syndrome (AIDS) for signs and symptoms of cancer. What is the most common AIDS-related cancer?         A. Squamous cell carcinoma      B. Multiple myeloma      C. Leukemia      D. Kaposi’s sarcoma           Correct Answer: D. Kaposi’s sarcoma Kaposi’s sarcoma is the… Read More »

Physiological Adaptation Q 252

A 30-year-old male from Haiti is brought to the emergency department in sickle cell crisis. What is the best position for this client?         A. Side-lying with knees flexed      B. Knee-chest      C. High Fowler’s with knees flexed      D. Semi-Fowler’s with legs extended on the bed           Correct Answer: D. Semi-Fowler’s with… Read More »

Physiological Adaptation Q 253

During the assessment of a laboring client, the nurse notes that the FHT are loudest in the upper-right quadrant. The infant is most likely in which position?         A. Right breech presentation      B. Right occiput anterior presentation      C. Left sacral anterior presentation      D. Left occiput transverse presentation           Correct Answer: A.… Read More »

Physiological Adaptation Q 254

Which of the following groups of symptoms indicated a ruptured abdominal aneurysm?         A. Lower back pain, increased BP, decreased RBC, increased WBC      B. Severe lower back pain, decreased BP, decreased RBC, increased WBC      C. Severe lower back pain, decreased BP, decreased RBC, decreased WBC      D. Intermittent lower back pain, decreased BP,… Read More »

Physiological Adaptation Q 255

A 35-year-old client with vaginal cancer asks the nurse, “What is the usual treatment for this type of cancer?” Which treatment should the nurse name?         A. Surgery      B. Chemotherapy      C. Radiation      D. Immunotherapy           Correct Answer: C. Radiation The usual treatment for vaginal cancer is external or intravaginal… Read More »

Physiological Adaptation Q 256

A male client had a nephrectomy 2 days ago and is now complaining of abdominal pressure and nausea. The first nursing action should be to:         A. Auscultate bowel sounds.      B. Palpate the abdomen.      C. Change the client’s position.      D. Insert a rectal tube.           Correct Answer: A. Auscultate bowel sounds.… Read More »

Physiological Adaptation Q 257

A 25-year-old male is admitted in sickle cell crisis. Which of the following interventions would be of the highest priority for this client?         A. Taking hourly blood pressures with mechanical cuff      B. Encouraging fluid intake of at least 200mL per hour      C. Position in high Fowler’s with knee gatch raised      D. Administering Tylenol… Read More »

Physiological Adaptation Q 258

The primary physiological alteration in the development of asthma is:         A. Bronchial inflammation and dyspnea      B. Hypersecretion of abnormally viscous mucus      C. Infectious processes causing mucosal edema      D. Spasm of bronchial smooth muscle           Correct Answer: D. Spasm of bronchial smooth muscle Asthma is the presence of bronchial… Read More »

Physiological Adaptation Q 259

Mang Jose with rheumatoid arthritis states, “The only time I am without pain is when I lie in bed perfectly still”. During the convalescent stage, the nurse in charge with Mang Jose should encourage:         A. Active joint flexion and extension      B. Continued immobility until pain subsides      C. Range of motion exercises twice… Read More »

Physiological Adaptation Q 260

Which hereditary disease is most closely linked to an aneurysm?         A. Cystic fibrosis      B. Lupus erythematosus      C. Marfan’s syndrome      D. Myocardial infarction           Correct Answer: C. Marfan’s syndrome Marfan’s syndrome results in the degeneration of the elastic fibers of the aortic media. Therefore, clients with the syndrome are… Read More »